Active SLED Opportunity · CALIFORNIA · ORANGE COUNTY - CALIFORNIA

    Inpatient Behavioral Health Services

    Issued by Orange County - California
    countyRFAOrange County - CaliforniaSol. 236806
    Open · 7d remaining
    DAYS TO CLOSE
    7
    due May 1, 2026
    PUBLISHED
    Mar 31, 2026
    Posting date
    JURISDICTION
    Orange County
    county
    NAICS CODE
    622310
    AI-classified industry

    AI Summary

    Orange County seeks qualified providers for inpatient behavioral health services for Medi-Cal eligible individuals with serious mental health or substance use disorders. Contracts will be awarded to licensed facilities providing acute inpatient psychiatric care with comprehensive services including evaluation, therapy, medication management, and care coordination.

    Opportunity details

    Solicitation No.
    236806
    Type / RFx
    RFA
    Status
    open
    Level
    county
    Published Date
    March 31, 2026
    Due Date
    May 1, 2026
    NAICS Code
    622310AI guide
    Agency
    Orange County - California

    Description

    The primary goal of this program is to provide services to Medi-Cal eligible youth, adults and/or older adults, with a serious mental health condition, often a co-occurring medical/substance use disorders, or stand-alone severe substance use disorder requiring acute inpatient psychiatric treatment in a safe, secured environment to stabilize symptoms occurring as a result of their mental health condition. 

    The County intends to establish two (2) Master Contracts which are dependent on State licensure but have the same required services as outlined below, pursuant to which County intends to execute contracts with all applicants who meet eligibility and submission requirements. The Master Contracts will be for one of the following service provisions:

    • Inpatient Behavioral Health Services, for the facilities that are an Acute Free-Standing Psychiatric Hospital (AFSPH)
    • Medi-Cal Mental Health Managed Care Inpatient Hospital Services for the facilities that are a General Acute Care Hospital (GACH)

    Background

    The County intends that the successful Applicant shall provide Inpatient Hospital Services or Inpatient Behavioral Health Services to include but not limited to: high quality, compliant, person centered, trauma informed inpatient psychiatric services (including co-occurring Substance Use Disorder (SUD) care or stand-alone SUD care), from admission through stabilization and transition to lower level of care, with strong coordination, discharge, and follow up as proposed in accordance with contract requirements set forth in the solicitation and Model Contract, including Attachments. 

    Project Details

    • Reference ID: RFA-042-3019403-II
    • Department: Health Care Agency
    • Department Head: Veronica Kelley, DSW, LCSW (Agency Director)

    Important Dates

    • Questions Due: 2026-04-24T23:00:00.000Z

    Evaluation Criteria

    • TARGET POPULATION

      Inpatient Behavioral Health Services shall be provided to residents from all areas of Orange County who require this highly restrictive level of care to ensure their safety and/or the safety of others. Many individuals served may present with co-occurring medical conditions and/or substance use disorders. In some instances, adults and older adults may present with a primary severe substance use disorder, necessitating involuntary treatment. Services shall be provided to Orange County residents, ages 13 - 17 living with a serious emotional disturbance; adults ages 18-64; and older adults ages 65 and older living with a serious mental health and/or severe substance use disorder and who meet criteria for involuntary acute inpatient psychiatric care under Sections 5150 or 5585 of the Welfare and Institutions Code. Services shall also be provided to individuals who voluntarily seek treatment. These individuals may be considered a danger to themselves or others or may be gravely disabled.

       

    • APPLICATION FOCUS AND BACKGROUND

      The County of Orange (County) Health Care Agency (HCA) is seeking applications from qualified organizations to provide Inpatient Behavioral Health Services

      The primary goal of this program is to provide services to Medi-Cal eligible youth, adults and/or older adults, with a serious mental health condition, often a co-occurring medical/substance use disorders, or stand-alone severe substance use disorder requiring acute inpatient psychiatric treatment in a safe, secured environment to stabilize symptoms occurring as a result of their mental health condition. 

      The County intends to establish two (2) Master Contracts which are dependent on State licensure but have the same required services as outlined below, pursuant to which County intends to execute contracts with all applicants who meet eligibility and submission requirements. The Master Contracts will be for one of the following service provisions:

      • Inpatient Behavioral Health Services, for the facilities that are an Acute Free-Standing Psychiatric Hospital (AFSPH)
      • Medi-Cal Mental Health Managed Care Inpatient Hospital Services for the facilities that are a General Acute Care Hospital (GACH)

       

      The County intends that the successful Applicant shall provide Inpatient Hospital Services or Inpatient Behavioral Health Services to include but not limited to: high quality, compliant, person centered, trauma informed inpatient psychiatric services (including co-occurring Substance Use Disorder (SUD) care or stand-alone SUD care), from admission through stabilization and transition to lower level of care, with strong coordination, discharge, and follow up as proposed in accordance with contract requirements set forth in the solicitation and Model Contract, including Attachments. 

    • ELIGIBILITY TO SUBMIT APPLICATIONS

      To be eligible to submit an application for these services, the applicant must:

      1. Be a facility located within Orange County, California
      2. Demonstrate direct experience in the last two years providing care for individuals with serious mental disorder, dually diagnosed patients (mental health and substance use disorders) and individuals with severe substance use disorders in an acute psychiatric setting or acute medical setting.  
      3. At the time of responding to this RFA, be: licensed by the California Department of Public Health (CDPH) as either a General Acute Care Hospital (Health & Safety Code §1250(a)), or an Acute Psychiatric Hospital (Health & Safety Code §1250(b)); be designated by the Orange County Behavioral Health Director or obtain LPS Designation within six months of application and approved by the California Department of Health Care Services (DHCS) as an LPS-designated facility authorized for involuntary detention and treatment under Sections 5150 and 5585 of the  Welfare & Institutions Code.  
      4. Be Medicare and/or Medicaid certified as a psychiatric hospital provider at the time of responding to this RFA and be Medi-Cal certified for reimbursement.

      County will not review any application submitted by an individual or entity found not to be eligible to submit an application. 

      In addition, to be eligible to contract with the County, an individual or entity must not be listed on the current Cumulative Sanction List of the Office of the Inspector General (U.S. Department of Health and Human Services), the General Services Administration’s list of parties excluded from federal programs, or the California Medi-Cal Suspended and Ineligible Provider List. Accordingly, County will not review any application submitted by an individual or entity found to be on any of these lists and the application will automatically be rejected. County will notify the applicant of this determination in writing.

      The County plans to use the following databases to identify individuals and entities that are not eligible to contract with the County:

      It is the sole responsibility of all applicants to verify that they are not on any of these lists prior to preparing and submitting an application in response to this RFA. Correction of any errors found on any of the lists, above, is the sole responsibility of the applicant and must be made prior to submission of the application.

      In addition, to be eligible to contract with the County, an individual or entity must not have any pending charge(s) or conviction(s) for violation of criminal law(s) and/or any sanction(s) or disciplinary action(s) imposed or taken against them by any federal or state law enforcement, regulatory or licensing agency or body, including exclusion from Medicare and Medicaid programs. Accordingly, all applicants must self-disclose with explanation, or deny the existence of this information pertaining to their principals, executives, and managers directly involved with the performance of the services solicited herein in Attachment II. Form C “Applicant Certifications”.

    • Title VI Solicitation Notice (Federal Contract Provision Guidelines Section A5.3.1)

      Title VI Solicitation Notice: The (Title of Recipient), in accordance with the provisions of Title VI of the Civil Rights Act of 1964 (78 Stat. 252, 42 U.S.C. §§ 2000d to 2000d-4), 28 CFR § 50.3, and 49 CFR Part 21, hereby notifies all bidders that it will affirmatively ensure that any contract entered into pursuant to this advertisement, all contractors will be afforded full opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of the owner’s race, color, national origin, sex, creed, age, or disability in consideration for an award.

    • CONTRACT TERM AND FUNDING AVAILABILITY

      The County plans to contract with applicants who meet the requirements of this solicitation to provide the subject services. At the discretion of County, the initial term of the contract(s) resulting from this solicitation may be renewed for an additional term or terms. Any renewal is contingent upon available funding, contractor performance, need for services, and County policies.

      Successful applicants are expected to accept all of the terms and conditions of the attached Model Contract, which contains the contract requirements between the County and the applicant regarding the provision of services solicited under this Request for Applicants (RFA). Any exceptions to the Contract Template must be indicated in the Services Questionnaire.  The selected application will be retained and incorporated into the contract by reference and made part thereof, except for assurances and promises that are unlawful.

      Contract(s) resulting from this solicitation shall be a cooperative Contract and may be utilized by all County of Orange departments.

      The provisions and pricing of any Contract resulting from this solicitation will be extended to other governmental entities.  Governmental entities wishing to use this Contract will be responsible for issuing their own purchase documents, providing for their own acceptance, and making any subsequent payments.  Contractor shall be required to include in any subordinate Contract entered into with another governmental entities pursuant to this Contract, a Contract clause that will hold harmless the County of Orange from all claims, demands, actions or cause of actions of every kind resulting directly or indirectly, arising out of, or in any way connected with, the use of this Contract.  Failure to do so will be considered a material break of this Contract and grounds for immediate Contract termination.  Governmental entities are responsible for obtaining all certifications of insurance, endorsements, and bonds required.  The Parties agree that any other governmental entity utilizing this Contract shall not be deemed to be an agency or employee of County for any purpose whatsoever.  The Contractor is responsible for providing each governmental entity a copy of this Contract upon request.  The County of Orange makes no guarantee of usage by other users of this Contract.

      The Contractor shall be required to maintain a list of the County of Orange departments and governmental entities using this Contract.  The list shall report dollar volumes spent annually and shall be provided on an annual basis to the County, at the County’s request.

      Subordinate Contracts must be executed prior to the expiration or earlier termination of this Contract and may survive the expiration of this Contract up to a maximum of one year; however, in no case shall a subordinate Contract exceed five (5) years in duration.

      The contract(s) awarded through this solicitation is anticipated to be Human Services. The funding source for these services is Realignment Funds, California Department of Health Care Services (DHCS) and Federal Financial Participation (FFP) funds. Any contract resulting from this solicitation is contingent upon sufficient funds being made available by federal, state, and/or county governments for the term of the contract. The County reserves the right to revise the contract term stated in this solicitation. Start-up funds are not available for these services, with proper justification, TBD, and may be used for TBD.

    • REJECTION OF APPLICATION(S)

      The County reserves the right to reject any application at any time during the RFA process on the basis of any substantiated actual and/or apparent conflict of interest regarding the performance of the proposed services solicited under this RFA. All applicants must self-disclose any potential and/or actual conflict of interest(s) in Attachment II. Form C “Applicant’s Certifications”. Any applicant submitting an application herein waives any right to object to County’s exercise of this right, now or at any future time, before anybody or agency including, but not limited to, the County Board of Supervisors or any court of competent jurisdiction.

      As soon as the County has determined that an applicant has a conflict of interest as stated herein, County will provide written notification of such conflict and rejection of the application.

      The County also reserves the right to reject any application at any time during the RFA process on the basis of any one or more of the following substantiated grounds:

      1. Evidence of collusion amongst applicants;
      2. Lack of such business skills and/or financial resources necessary and appropriate to successfully operate the services solicited in this RFA, as revealed by either the financial statement or experience statement;
      3. Default on, or unpaid, County debt;
      4. Default on any obligation to County;
      5. Current or past failure to perform to County standards any obligation of a contract with County, as determined by County; and
      6. Ineligible to enter into a contract with the County, as set forth in Section 3.1 Applicants’ "Eligibility to Submit Application".

      All applications that are irregular, incomplete, conditional, ambiguous and/or obscure and not minor irregularities and/or immaterial or inconsequential variations from the RFA requirements will be rejected. The County will provide a written notification of the grounds upon which an application is rejected.

    • SERVICES TO BE PROVIDED

      The successful Applicant shall provide high quality, compliant, person-centered, trauma-informed inpatient psychiatric services (including co-occurring SUD care and/or care for medical conditions or stand-alone severe substance use disorder care), from admission through stabilization and transition to lower level of care, with strong coordination, discharge and follow-up.

      1. Certification/Accreditation: Applicant shall be certified for participation under 42 CFR Part 482. If not certified, applicant must hold accreditation from a nationally recognized accrediting body and meet all applicable State licensure and/or accreditation requirements. 
      2. Quality Standards: Applicant shall meet all quality standards required by County, State, and Federal entities.  
      3. Care Model: Services shall be person-centered, recovery-oriented, non-coercive, trauma-informed, medically necessary, co-occurring capable and time-limited to achieve psychiatric stabilization sufficient for discharge or transfer to a lower level of care.
      4. Assessment & Level of Care: Applicant shall utilize a standardized assessment tool approved by the Behavioral Health Plan (BHP) to determine appropriate level of care and length of stay, used in conjunction with the concurrent review process. 
      5. Psychiatric Evaluation: A licensed psychiatrist shall complete a psychiatric evaluation within 24 hours of admission, including psychiatric history, diagnosis, and initial plan of treatment.  This evaluation must be completed in accordance with the current Diagnostic and Statistical Manual of Mental Disorders (DSM). 
      6. Daily Rounds: Daily rounds shall be conducted by licensed psychiatrists or advanced psychiatric providers (Psychiatric Nurse Practitioners or Psychiatric Physician Assistants) under the supervision of a licensed psychiatrist.
      7. Medical Health and Physical (H&P): A medical history and physical examination shall be completed within twenty-four (24) hours of admission.
      8. Comorbidity Screening and Capacity: Applicant shall screen for comorbid physical health conditions, SUD and suicidal ideation and demonstrate capacity to address comorbid needs during short-term stay via on-site staff, telemedicine, and/or partnerships with local physical health providers. 
      9. Psychosocial Assessment: A Psychosocial Assessment shall be completed within seventy-two (72) hours of admission by a Licensed or Licensed Waivered Practitioner of the Healing Arts (LPHA). 
      10. Laboratory/Diagnostics: Provide laboratory and diagnostic services as clinically indicated. 
      11. Medication Services: Provide psychiatric medication evaluation and monitoring, including ongoing laboratory testing as clinically necessary. 
      12. Medication for Addiction Treatment (MAT): Initiate, continue, and link clients to continued MAT for substance use disorders as appropriate. 
      13. Therapy—Individual & Group: Provide individual and group therapy. 
      14. Substance Use Interventions: Deliver substance use treatment interventions.
      15. Collateral Interventions: Provide collateral therapy and interventions (including provision or supervision of family therapy sessions as indicated for youth).
      16. Activity Therapy: Provide activities therapy as clinically appropriate.
      17. Care Coordination Documentation: Document coordination of care with the Managed Care Plan (MCP) and community-based providers.
      18. Pre-discharge Planning and Aftercare: Implement extensive pre-discharge planning using the Model Care Coordination Plan or an equivalent tool containing the same requirements.  
      19. Provide each patient with an aftercare plan prior to discharge that includes, to the extent known: 
        1. Nature of illness, required follow-up, and expected course of recovery.
        2. Medications, side effects, and dosage schedules.
        3. Notation that informed consent for medications was obtained.
        4. Confirmation that informed consent includes information on medication side effects.
        5. Expected course of recovery.
        6. Treatment recommendations relevant to the patient’s care.
        7. Documented referrals to medical and behavioral health providers using a closed-loop referral process through a BHP-determined application or vendor. 
        8. Housing assessment for members at risk of homelessness or returning to unsafe/unstable housing, with documented referrals to community-based housing providers using closed-loop/e-referrals when available.
      20. Post-discharge Outreach: Contact members within seventy-two (72) hours of discharge to ensure follow-up care is accessed, using the most effective means (e.g., email, text messaging, telephone). Report outcomes to County BHP via the closed-loop referral method designated by the plan.
      21. Assertive Discharge Planning (Suicide Risk): Provide person-centered, tailored, participatory discharge planning for any member at risk of death by suicide, which may include: 
        1. Immediate access to structured clinical interventions within a stepdown level of care.
        2. Appointments with primary care or other medical follow-up.
        3. Arranged access to prescription medications.
        4.  Family/support system engagement and psychoeducation.
        5. Peer support engagement.
        6. Vocational or educational support.
        7. Crisis response planning.
        8. Risk factor analysis and safety contracting.
        9. Strategies to address social determinants of health.
        10. Preferred methods for proactive outreach within the first hours or days post-discharge.
      22. Continuing Care and Coordination: Provide continuing care planning and coordinate behavioral health services, including:
        1. Admission, discharge, and transfer notifications from acute care hospitals, psychiatric hospitals, state hospitals, and skilled nursing facilities.
        2. Data sharing among Medi-Cal Partners, including BHPs and MCPs.
        3. Service coordination with all applicable providers regardless of Medi-Cal participation.
      23. Administrative Services Organization (ASO) Coordination: Notify the County appointed ASO within 24 hours of admission and maintain ongoing coordination for utilization management. 
      24. Aftercare Linkage: Provide referral and linkage to mental health and substance use treatment providers and other support services prior to discharge. 
      25. Individualized Treatment Plan (ITP): Initiate an ITP within twenty-four (24) hours of admission; obtain signatures from the treatment team and client (or document why signatures could not be obtained) within seventy-two (72) hours. All services must be compatible with ITP. 
      26. Voluntary/Involuntary Treatment: Assess for voluntary and involuntary treatment needs and proceed in accordance with applicable laws and policies.
      27. Crisis Intervention: Provide crisis intervention services.
      28. Education & Support: Deliver education and support to clients and families/caregivers as appropriate.
      29. Transportation: Arrange or provide transportation services as needed to support access to care.
      30. Psychological Services: Provide psychological services as clinically indicated.
      31. Psychometrics: Conduct psychometric testing upon admission to establish clinical baseline, inform treatment decision-making, and support evidence-based practices.
      32. 24/7 Psychiatric Coverage: Ensure on call psychiatric coverage 24/7, supported by other qualified personnel.
      33. Interdisciplinary Interventions: Provide nursing, psychological, and social interventions consistent with the ITP.
      34. Aftercare Scheduling: Arrange dates and times for aftercare appointments to County programs within 24 business hours of discharge.
      35. Court-Related Services: Prepare required court documents and provide expert witness testimony services, including but not limited to writs of habeas corpus, capacity hearings, conservatorship, probable cause hearings, court ordered evaluations, and appeal/post certification proceedings.
      36. Juvenile Court Documentation: Prepare documentation required by Juvenile Court to authorize psychotropic medication for youth under court jurisdiction (JV220).
      37. Recovery and Trauma-Informed Focus: All services shall be recovery oriented, and trauma informed, promote client empowerment, and be tailored to individual needs.
      38. Peer Mentor Collaboration: Collaborate with County contracted Peer Mentors, as available, to provide direct support, education, advocacy, and resource/linkage assistance. 
      39. Orange County (OC) Medi-Cal Admission Notification: Provide next day notification to HCA for each OC Medi-Cal admission.
      40. SUD Treatment Capacity and MAT: Demonstrate capacity to treat severe standalone SUD or cooccurring SUD using harm reduction or abstinence-based models, including MAT therapy. Facilities must initiate, continue, and refer for MAT as approved by the Food and Drug Administration (FDA) and/or updated DHCS requirements. 
      41. Resource Familiarity: Be familiar with County and community resources to support SUD treatment and recovery.
      42. SUD Therapies and Expertise: Include SUD therapies and ensure access to SUD experts.
      43. Bed Capacity Tracking: Maintain capacity to participate in statewide tracking of inpatient and crisis stabilization bed availability in accordance with State and Federal Health IT (HIT) Plan standards/regulations upon DHCS launch of a bed capacity data solution.
      44. Average Length of Stay (ALOS): Monitor and report monthly on ALOS, with a goal of ≤30 days across all treatment episodes. Report ALOS by County Health Plan, including unfunded clients.
      45. Readmission Monitoring and ALOS Integrity: Monitor readmission rates for all treatment episodes. Under no circumstances shall a facility discharge a member for the purpose of readmitting them to meet the ALOS goal.
      46. Electronic Notification Compliance: Comply with Electronic Notification requirements under 42 CFR 482.61(f), as specified in the CMS Interoperability and Patient Access Final Rule.
      47. County Access and Rights Advocacy: Allow facility access, as requested, to County Contract Monitors and Patient Rights Advocates to conduct chart reviews and meet with clients and staff within seventy-two (72) hours’ of the facility receiving notice Unannounced inspections, evaluations, or requests for information may be made in those situations where arrangement of an appointment beforehand is not possible or is inappropriate due to the nature of the inspection or evaluation.
      48. Information Systems and Data Exchange: Maintain effective Information Systems, including use of an Electronic Medical Record (EMR), Health Information Exchange (HIE), and data exchange capabilities to support care coordination and compliance with performance measures as determined by HEDIS (Healthcare Effectiveness Data and Information Set) and NCQA (National Committee for Quality Assurance).
      49. Public Guardian Notification: Facilities must notify Public Guardians’ office immediately, twenty four (24) hours a day/ seven (7)-days per week/ three hundred sixty five (365) days per year, at Main Line (714) 567-7600 or After Hours Line (714) 628-7000, of changes in placement, emergencies, or changes of the client’s condition, for any publicly conserved client, in addition to notifying OC HCA contract monitor.
      50. Regional Center Coordination: Facilities shall make reasonable efforts to notify the Regional Center Service Coordinator and Nurse Consultant of a Regional Center Client’s admission within twenty-four (24) hours of admission or within twenty- four (24) hours of identifying that a Client is a Regional Center Client.
    • Optional Procurement and Pre-Bid Demographic Survey

      John Wayne Airport (JWA) is requesting information on the racial and ethnic ownership of businesses seeking contractual or business opportunities with the Airport.  Please provide this information in the following online form: https://forms.office.com/g/JDEyLfcptc

      Only one survey response should be submitted per business for each opportunity.  Your assistance in providing this voluntary and anonymous information is greatly appreciated and supports JWA’s measurement of business diversity performance.

    • Civil Rights and Nondiscrimination
      1. General Civil Rights Provisions: In all its activities within the scope of its airport program, the Contractor agrees to comply with pertinent statutes, Executive Orders, and such rules as identified in Title VI List of Pertinent Nondiscrimination Acts and Authorities to ensure that no person shall, on the grounds of race, color, national origin, creed, sex, age, or disability be excluded from participating in any activity conducted with or benefiting from Federal assistance.
        This provision is in addition to that required by Title VI of the Civil Rights Act of 1964.
        The above provision binds the Contractor and subcontractors from the bid solicitation period through the completion of the contract.
      2. Nondiscrimination: In the performance of this Contract, Contractor agrees that it will comply with the requirements of Section 1735 of the California Labor Code and not engage nor permit any subcontractors to engage in discrimination in employment of persons because of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, or sex of such persons. Contractor acknowledges that a violation of this provision shall subject Contractor to penalties pursuant to Section 1741 of the California Labor Code.
      3. Compliance with Nondiscrimination Requirements: During the performance of this contract, the Contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the “Contractor”), agrees as follows: 
        1. Compliance with Regulations:  The Contractor (hereinafter includes consultants) will comply with the Title VI List of Pertinent Nondiscrimination Acts and Authorities, as they may be amended from time to time, which are herein incorporated by reference and made a part of this contract.
        2. Non-Discrimination:  The Contractor, with regard to the work performed by it during the contract, will not discriminate on the grounds of race, color, national origin, creed, sex, age, or disability in the selection and retention of subcontractors, including procurements of materials and leases of equipment.  The Contractor will not participate directly or indirectly in the discrimination prohibited by the Nondiscrimination Acts and Authorities, including employment practices when the contract covers any activity, project, or program set forth in Appendix B of 49 CFR part 21 including amendments thereto.
        3. Solicitations for Subcontracts, including Procurements of Materials and Equipment: In all solicitations, either by competitive bidding or negotiation made by the Contractor for work to be performed under a subcontract, including procurements of materials, or leases of equipment, each potential subcontractor or supplier will be notified by the Contractor of the contractor’s obligations under this Contract and the Nondiscrimination Acts and Authorities on the grounds of race, color, or national origin.
        4. Information and Reports: The Contractor will provide all information and reports required by the Acts, the Regulations, and directives issued pursuant thereto and will permit access to its books, records, accounts, other sources of information, and its facilities as may be determined by the Sponsor or the Federal Aviation Administration to be pertinent to ascertain compliance with such Nondiscrimination Acts and Authorities and instructions. Where any information required of a contractor is in the exclusive possession of another who fails or refuses to furnish the information, the Contractor will so certify to the Sponsor or the Federal Aviation Administration, as appropriate, and will set forth what efforts it has made to obtain the information.
        5. Sanctions for Noncompliance: In the event of a Contractor’s noncompliance with the nondiscrimination provisions of this contract, the Sponsor will impose such contract sanctions as it or the Federal Aviation Administration may determine to be appropriate, including, but not limited to:
          1. Withholding payments to the Contractor under the contract until the Contractor complies; and/or
          2. Cancelling, terminating, or suspending a contract, in whole or in part.
        6. Incorporation of Provisions: The Contractor will include the provisions of paragraphs one through six in every subcontract, including procurements of materials and leases of equipment, unless exempt by the Acts, the Regulations, and directives issued pursuant thereto. The Contractor will take action with respect to any subcontract or procurement as the Sponsor or the Federal Aviation Administration may direct as a means of enforcing such provisions including sanctions for noncompliance. Provided, that if the Contractor becomes involved in, or is threatened with litigation by a subcontractor, or supplier because of such direction, the Contractor may request the Sponsor to enter into any litigation to protect the interests of the Sponsor. In addition, the Contractor may request the United States to enter into the litigation to protect the interests of the United States.
          Upon request by the County, Contractor will provide a copy of each subcontract to demonstrate the above language has been inserted.
      4. Title VI List of Pertinent Nondiscrimination Acts and Authorities: During the performance of this Contract, the Contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the “Contractor”) agrees to comply with the following nondiscrimination statutes and authorities; including but not limited to:
        1. Title VI of the Civil Rights Act of 1964 (42 USC § 2000d et seq., 78 stat. 252) (prohibits discrimination on the basis of race, color, national origin);
        2. 49 CFR part 21 (Nondiscrimination in Federally-Assisted programs of the Department of Transportation—Effectuation of Title VI of the Civil Rights Act of 1964) including amendments thereto;
        3. The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 USC § 4601) (prohibits unfair treatment of persons displaced or whose property has been acquired because of Federal or Federal-aid programs and projects);
        4. Section 504 of the Rehabilitation Act of 1973 (29 USC § 794 et seq.), as amended (prohibits discrimination on the basis of disability); and 49 CFR part 27 (Nondiscrimination on the Basis of Disability in Programs or Activities Receiving Federal Financial Assistance);
        5. The Age Discrimination Act of 1975, as amended (42 USC § 6101 et seq.) (prohibits discrimination on the basis of age);
        6. Airport and Airway Improvement Act of 1982 (49 USC § 47123), as amended (prohibits discrimination based on race, creed, color, national origin, or sex);
        7. The Civil Rights Restoration Act of 1987 (PL 100-259) (broadened the scope, coverage and applicability of Title VI of the Civil Rights Act of 1964, the Age Discrimination Act of 1975 and Section 504 of the Rehabilitation Act of 1973, by expanding the definition of the terms “programs or activities” to include all of the programs or activities of the Federal-aid recipients, sub-recipients and contractors, whether such programs or activities are Federally funded or not);
        8. Titles II and III of the Americans with Disabilities Act of 1990 (42 USC § 12101, et seq), (prohibit discrimination on the basis of disability in the operation of public entities, public and private transportation systems, places of public accommodation, and certain testing entities) as implemented by U.S. Department of Transportation regulations at 49 CFR parts 37 and 38;
        9. Title IX of the Education Amendments of 1972, as amended, which prohibits you from discriminating because of sex in education programs or activities (20 USC § 1681, et seq).
        10. Contractor is required to insert the above Title VI List of Pertinent Nondiscrimination Acts and Authorities into every subcontract at any tier.  Upon request by the County, Contractor will provide a copy of each subcontract to demonstrate that the above language has been inserted.
      5. Civil Rights Training: Upon request by the County, Contractor is required to disseminate and provide training materials and other information related to Title VI Civil Rights to its staff as specified by the County.
    • CONTRACT TERM AND FUNDING AVAILABILITY

      The County plans to contract with applicants who meet the requirements of this solicitation to provide the subject services. At the discretion of County, the initial term of the contract(s) resulting from this solicitation may be renewed for an additional term or terms. Any renewal is contingent upon available funding, contractor performance, need for services, and County policies.

      Successful applicants are expected to accept all of the terms and conditions of the attached Model Contract, which contains the contract requirements between the County and the applicant regarding the provision of services solicited under this Request for Applicants (RFA). Any exceptions to the Contract Template must be indicated in the Services Questionnaire.  The selected application will be retained and incorporated into the contract by reference and made part thereof, except for assurances and promises that are unlawful.

      Contract(s) resulting from this solicitation shall be a cooperative Contract and may be utilized by all County of Orange departments.

      The provisions and pricing of any Contract resulting from this solicitation will be extended to other governmental entities.  Governmental entities wishing to use this Contract will be responsible for issuing their own purchase documents, providing for their own acceptance, and making any subsequent payments.  Contractor shall be required to include in any subordinate Contract entered into with another governmental entities pursuant to this Contract, a Contract clause that will hold harmless the County of Orange from all claims, demands, actions or cause of actions of every kind resulting directly or indirectly, arising out of, or in any way connected with, the use of this Contract.  Failure to do so will be considered a material break of this Contract and grounds for immediate Contract termination.  Governmental entities are responsible for obtaining all certifications of insurance, endorsements, and bonds required.  The Parties agree that any other governmental entity utilizing this Contract shall not be deemed to be an agency or employee of County for any purpose whatsoever.  The Contractor is responsible for providing each governmental entity a copy of this Contract upon request.  The County of Orange makes no guarantee of usage by other users of this Contract.

      The Contractor shall be required to maintain a list of the County of Orange departments and governmental entities using this Contract.  The list shall report dollar volumes spent annually and shall be provided on an annual basis to the County, at the County’s request.

      Subordinate Contracts must be executed prior to the expiration or earlier termination of this Contract and may survive the expiration of this Contract up to a maximum of one year; however, in no case shall a subordinate Contract exceed five (5) years in duration.

      The contract(s) awarded through this solicitation is anticipated to be Human Services. The funding source for these services is Realignment Funds, California Department of Health Care Services (DHCS) and Federal Financial Participation (FFP) funds. Any contract resulting from this solicitation is contingent upon sufficient funds being made available by federal, state, and/or county governments for the term of the contract. The County reserves the right to revise the contract term stated in this solicitation. Start-up funds are not available for these services, with proper justification, and may be used for TBD.

    • PERFORMANCE OBJECTIVES

      The selected applicant shall be required to meet the following performance objectives by the end of each Term.

      1. Aftercare Scheduling (Timeliness): One hundred percent (100%) of clients discharged to the community shall have a follow-up outpatient appointment scheduled within 24 business hours of discharge.
      2. Recidivism Tracking (7 & 30 Days): Track the number and percentage of clients re-hospitalized at any psychiatric hospital within seven (7) calendar days and thirty (30) calendar days of discharge.
      3. Average Length of Stay: Track and report monthly the length of stay for all clients discharged in the previous month.
      4. Contact members within seventy-two (72) hours of discharge to ensure follow-up care is accessed reporting linkage rates, on a monthly basis, to County BHP via the closed-loop referral method designated by the plan. 
      5. 7-Day Rehospitalization Prevention: Greater than or equal to ninety percent (≥90%) of clients will not require rehospitalization within seven (7) calendar days of discharge.  
      6. 30-Day Rehospitalization Prevention: Greater than or equal to eighty percent (≥80%) of clients will not require rehospitalization within thirty (30) calendar days of discharge.
      7. Seclusion/Restraint Monitoring: Track and report seclusion and restraint rates on a monthly basis.
      8. Admissions Reporting: Track and report monthly admissions by referral source and population age groups (Youth 13 through 17, Adults 18 through 64, and Older Adults 65+ years.)
    • MINOR IRREGULARITIES AND DEFICIENCIES IN APPLICATION(S)

      The County reserves the right at its sole discretion, to accept an application containing a minor irregularity or when a defect or variation is immaterial or inconsequential.

      The County reserves the right to waive any and all minor irregularities in lieu of seeking corrections thereof. All requests for correction of minor irregularities or notification of waiver thereof will be given to applicants in writing.

    • TIME APPLICATIONS WILL REMAIN VALID

      Applications will remain valid for 365 days from the solicitation due date.

    • NON-RESPONSIVE APPLICATION(S)

      Any application which fails to conform to the essential requirements of this RFA, such as specifications, may be rejected as non-responsive.

      The County will provide a written notification of rejecting non-responsive applications, which will state the specific grounds for the rejection. Therefore, it is the sole responsibility of the applicants to ensure their applications are conforming and responsive to all requirements of this RFA.

    • STAFFING REQUIREMENTS

      The Applicant shall maintain a staffing pattern and administrative personnel that meet all applicable State, Federal, and County regulations, including Title 9, California Code of Regulations (CCR), Lanterman-Petris-Short (LPS) Act Facility Designation Interim Regulations, and Senate Bill 43 (SB 43) mandates. If staffing ratio requirements conflict, the highest client to staff ratio will be followed.  At a minimum, the following shall be provided: 

      1. Clinical Staff must comply with Title 9 CCR, Section 663, which requires:  
        1. A psychiatrist (if the administrative director is not a psychiatrist) who assumes medical responsibility as defined in Section 522.
        2. A psychologist, social worker, registered nurse, and other nursing personnel under supervision of a registered nurse.
        3. Nursing personnel present 24/7, Physicians, Psychiatrists, and mental health personnel available at all times.
      2. Administrative Director must qualify under Title 9 CCR Sections 620(d), 623, 624, 625, or 627, which include licensed physicians with psychiatric training, licensed psychologists, licensed clinical social workers, or licensed marriage/family counselors with required administrative experience.
      3. Clinical Program Director must meet qualifications under Sections 623–627, consistent with professional discipline (psychiatrist, psychologist, social worker, or marriage/family counselor).
      4. Psychiatric Medical Director must be a licensed psychiatrist per Section 623, assuming medical responsibility as defined in Section 522.
      5. Adequate Clerical Support to support documentation, reporting, and coordination requirements.
      6. All Staff shall reflect the linguistic and cultural patterns of the population served and complete training in cultural competency and diversity.
      7. Assigned Staff for Concurrent Review Compliance to ensure notification to the County ASO of client admission within 24 hours and participation in utilization management processes.
      8. All clinical staff shall demonstrate competence in treating severe mental health disorders, severe emotional disorders, co-occurring conditions, and stand-alone severe substance use disorders. Staff shall complete any additional training required by the Administrator or County.
      9. Staffing must support expanded criteria for grave disability under SB 43, which includes severe substance use disorder as a basis for involuntary detention or placement. Staff shall be trained on SB 43 requirements and updated LPS facility regulations.
      10. All staff shall be trained and knowledgeable in treatment issues reflecting the diversity of Orange County residents, including individuals with severe substance use disorders, as required by Health & Safety Code §1799.111 and Welfare & Institutions Code § 5008, 5350, 5354, 5402, and 5122, as amended by SB 43.
    • FACILITY REQUIREMENTS

      The selected applicant shall maintain a facility that meets the following minimum requirements:

      1. Location and Security: Services must be provided in a locked inpatient facility located within Orange County, California, to ensure client safety and regulatory compliance.
      2. Certification: Facility must be certified as meeting the conditions for participation in 42 CFR 482 or be accredited by a nationally recognized entity in addition to meeting State licensure and/or accreditation.
      3. Licensure: Facility must be licensed by the CDPH as either:  
        1. A General Acute Care Hospital (GACH) as defined in Health & Safety Code §1250(a), as a health facility having a duly constituted governing body with overall administrative and professional responsibility and an organized medical staff that provides 24-hour inpatient care, including the following basic services: medical, nursing, surgical, anesthesia, laboratory, radiology, pharmacy, and dietary services; or 
        2. An Acute Free-Standing Psychiatric Hospital (AFSPH) as defined in Health & Safety Code §1250(b) as a health facility having a duly constituted governing body with overall administrative and professional responsibility and an organized medical staff that provides 24-hour inpatient care for persons with mental health disorders or other patients referred to in Division 5 (commencing with Section 5000) or Division 6 (commencing with Section 6000) of the Welfare and Institutions Code, including the following basic services: medical, nursing, rehabilitative, pharmacy, and dietary services.
      4. LPS Designation: Facility must be designated by the Orange County Behavioral Health Director or obtain designation within 6 months of application and approved by the DHCS as a Lanterman-Petris-Short (LPS) facility authorized for 72-hour treatment and evaluation pursuant to Sections 5150 or 5585 of the Welfare & Institutions Code before a contract will be fully executed. 
      5. Physical Space Requirements: In addition to semi-private patient rooms, the facility shall include, at a minimum: 
        1. Dining area 
        2. Group therapy and activity rooms 
        3. Day room/visitor room 
        4. Seclusion room for clinical use as required by law and safety standards
      6. Licensure and Certification Maintenance: Provider must maintain all facility licenses, certifications, and designations in full compliance with State and Federal regulations, including any updates issued by CDPH, DHCS, and County Behavioral Health.

       

    • TIMELINE

      Timeline dates are approximations only and do not constitute any commitment or guarantee by the County.  

      To ensure the Services Commence date listed below can be met, applicants must submit all required materials by the Initial Application Deadline. RFA will remain open for an additional six months for rolling submissions.

       

      RFA Released:March 31, 2026
      RFA Q&A Deadline:April 24, 2026, 4:00pm
      Initial Application Deadline:April 30, 2026, 4:00pm
      Final Application Deadline:March 31, 2027, 4:00pm
      Board of Supervisors date (for Initial Application Deadline):Anticipated: August 11, 2026
    • EVALUATION OF APPLICATIONS AND SELECTION OF PROVIDERS

      The County plans to review all applications received and may enter into contract negotiations with applicants that meet all eligibility and submission requirements for one of the following service provisions:  

      • Inpatient Behavioral Health Services, for the facilities that are an Acute Free-Standing Psychiatric Hospital 
      • Medi-Cal Mental Health Managed Care Inpatient Hospital Services for the facilities that are a General Acute Care Hospital

      The County has the right to conduct a compensation plan analysis to review and audit all business records and related documents of any and all applicants (including an affiliated or parent company), determine the adequacy, fairness, and reasonableness of the application, and to contact any and all client references.

      The County’s determination as to whether an applicant is qualified and responsive will be based on the information furnished by the applicant in this solicitation, interview(s) with the applicant (if applicable), as well as from other sources determined to be valid by County. Award will not be made until after such investigations, as are deemed necessary, are made by the County regarding the experience and financial responsibility of applicant, which each applicant agrees to permit by submitting its application.

       

    • WITHDRAWAL OF APPLICATIONS(S)

      An application may be withdrawn by the applicant or an authorized representative, provided his or her identity is made known and he or she provides a receipt for the application, but only if the withdrawal is made prior to the application due date.

    • REIMBURSEMENT RATES:

      In accordance with BHIN‑25‑038 and State Plan Amendment (SPA) 23‑0045, Fee‑for‑Service/Managed Care (FFS/MC) contract hospitals providing acute psychiatric inpatient services to Medi‑Cal (FFS and managed care) members are reimbursed under a standardized rate methodology and using the Centers for Medicare & Medicaid Services (CMS) Market Basket Index for inpatient psychiatric facilities.

      A hospital and Mental Health Plan (MHP) may negotiate a per‑diem reimbursement rate. However, this negotiated rate must not exceed the hospital’s usual and customary charge, or the maximum per‑diem rate determined by DHCS using the most current settled or audited CMS 2552 cost report for each qualifying applicant.  

       
      Age ServedGACHAFSPH
      12-17 years oldPay Source: DHCSPay Source: DHCS
      18-21 years oldPay Source: DHCSPay Source: DHCS
      22-64 years oldPay Source: DHCSPay Source: HCA
      65 + years oldPay Source: DHCSPay Source: DHCS
      Lerke ClientsPay Source: HCA (Rate to be negotiated)Pay Source: HCA (Rate to be negotiated)
      All Age Groups: Administrative Bed Day Rate:Established and set by DHCSEstablished and set by DHCS

      The rates do not include Professional Services as those are claimed separately and reimbursed directly by MHPs and not part of the awarded contract(s).

       
    • QUESTIONS REGARDING THE RFA PROCESS AND REQUIREMENTS

      All questions regarding this Request for Applications (RFA) are to be posted online via The County’s online bidding system Question and Answer (Q&A) Section and will only be accepted and answered during the Q&A period that lasts until approximately one (1) week prior to the RFA closing date.

      All applicants are expected to thoroughly read through the entire RFA package before posting questions. All participating applicants will simultaneously receive a notification via The County’s online bidding system that a question has been posted related to this RFA and will be available for view by all participating applicants. The County’s responses to the questions asked will be posted as promptly as possible to The County’s online bidding system and will be available for view by all participating applicants. .

      The Q&A Section will close on Friday, April 24, 2026 at 4:00 pm Pacific Time. All applicants are encouraged to post any questions regarding the RFA by this deadline. After the close of the Q&A period, applicants may only contact the Deputy Purchasing Agent (DPA) with questions related to uploading applications to the County’s online bidding system. No other specific solicitation-related questions will be answered.

      It is up to each individual applicant to determine if their organization meets the eligibility criteria stated in the RFA prior to submitting an application. The County does not provide any assistance to that effect.

      Applicants are to strictly follow the directions above for questions regarding this RFA. During the entire RFA process, no County representative may be contacted for questions or information regarding this RFA with the exception of the assigned DPA, Imelda Iler at iiler@ochca.com. Any violation of this direction may be deemed non-responsive with the RFA process and shall form a basis for the rejection of the application.

    • HOMELESS SERVICE SYSTEM PILLARS

      Health Care Agency supports the County's effort to build a responsive System of Care that meets the needs of individuals and families experiencing homelessness by providing access to permanent housing and supportive services.

      The Scope of Work and services outlined are in alignment with the Outreach and Supportive Services Pillar and Housing Pillar from the Commission to End Homelessness Homeless Service System Pillars Report. Health Care Agency and Respondents shall work to implement the principles and commitments of the Outreach and Supportive Services Pillar and the Housing Pillar, as applicable.

      Responent shall upload their completed Homeless Service System Pillars Attestation in the Vendor Responses question.

    • GENERAL INSTRUCTIONS FOR SUBMITTAL
      1. Applicant’s application must clearly meet all of the requirements of this solicitation.
      2. Applicants should review all requirements and instructions to ensure that each requirement is met. County shall not be responsible for any oral instructions given by any employees of County in regard to the application instructions, specifications, or application documents as described in this solicitation. 
      3. Applications and requested documents must be electronically uploaded in PDF format, via County’s online bidding system. Hard copy applications will not be accepted.
      4. Allow sufficient time to upload all required files. After the application deadline, County’s online bidding system will not allow any uploads. If all files are not uploaded successfully by the application deadline, your organization’s application may not be accepted.
      5. Provide accurate and honest information. Information that is deliberately inaccurate may prompt an investigative review and will affect the evaluation of the application.
      6. Provide documentation where necessary, including items such as forms, licenses, etc.
      7. If you omit any required information or data, explain why.
      8. Do not include home addresses, home phone numbers, and/or personal email addresses for any employee, volunteer, Board member, etc. in your applications.

      NOTE: Electronic Bids cannot be viewed by County until after the solicitation deadline. If you encounter any problems with your registration, system, application submission, or other system issues, please contact OpenGov’s support staff via the live chat option or via email at procurement-support@opengov.com.

    • THE COUNTY RESERVES THE RIGHT TO:
      1. Modify this RFA prior to the time applications are due, provided applicants are granted such extensions as necessary to allow sufficient time for submission of applications in response to the modified RFA.
      2. Cancel this RFA at any time, but prior to award of a contract by the Board of Supervisors, in whole or in part, when it is determined that cancellation is in the best interest of the County.
      3. Reject any or all applications.
      4. Reject an application at any time during the RFA process for reasons stated in this RFA or for false information submitted in response to the RFA.
      5. Enter into a contract for all or some of the stated scope.
      6. Award single or multiple contracts.
      7. Based on the County’s needs and availability of funds, modify the scope described herein, provided applicants are allowed to re-submit modified applications within a reasonable time.
      8. Ask applicants for additional information or documentation.
    • USE OF LOBBYISTS

      The County does not require, and neither encourages nor discourages, the use of lobbyists or other consultants for the purpose of securing business.

    • CONFLICT OF INTEREST

      Applicant agrees that if there is a change or transfer in ownership of applicant’s organization prior to the completion of the contract, and the County agrees to an assignment of the Contract, the new owners shall be required under the terms of sale or other instruments of transfer to assume Contractor’s duties and obligations contained in the Contract and complete them to the satisfaction of the County.

      The County reserves the right to immediately terminate the Contract in the event the County determines that the assignee is not qualified or is otherwise unacceptable to the County for the provision of services under the Contract.

    • CONFIDENTIALITY

      California Public Records Act

      Pursuant to California law, all information contained in an application may be public record, subject to disclosure to any member of the public who requests it through the California Public Records Act (CPRA). Government Code section 7920 et seq. 

    • MODIFICATIONS OF THE RFA

      The County reserves the sole right to interpret or change any provision of the solicitation at any time prior to the application submission date. Any and all interpretations or changes will be in the form of a written addendum, which will be furnished to all applicants through County’s online bidding system. All addendums issued will become part of the solicitation and resultant contract. Applicants hereby acknowledge their receipt of any addendum by being registered in County’s online bidding system and acknowledge it is the applicant’s responsibility to check for, and read all addendums posted in County’s online bidding system.

      Should such addendum require information not previously requested, the County at its sole discretion, may determine that a time extension is required for the submission of applications, in which case an addendum will indicate the new application submission date.

    • Contractor Screening

      Throughout the term of this Contract, Contractor shall not be listed on any state or federal exclusionary rosters, listed below. County may screen Contractor on a monthly basis to ensure Contractor is not listed on the exclusionary rosters, listed below.  If Contractor or its employee(s) are found to be included on any of the rosters indicated below, Contractor shall be deemed in default of its obligation under this Paragraph and shall constitute a cause for County to exercise its right to terminate this Contract immediately.  County, in its sole discretion, may afford Contractor an opportunity to cure said default within a reasonable time.

       

      1. United States Department of Health and Human Services, Office of Inspector General (OIG) List of Excluded Individuals & Entities (LEIE) (http://exclusions.oig.hhs.gov)
      2. General Services Administration (GSA) System for Award Management (SAM) Excluded   Parties List (http://sam.gov)
      3. State of California Department of Health Care Services Medi-Cal Suspended and Ineligible Provider List (County Health Care Agency Internal Database)

    Submission Requirements

    • COMPLIANCE STATEMENTS

      Some *required questions might not be applicable to your company. Do not leave any required fields blank. Please indicate "N/A" when necessary. A required field that is left blank will prohibit your response from being submitted.

      *indicates that it is required.

    • Validity of Response (required)

      The County requires that all response be valid for at least three hundred sixty-five (365) calendar days. Submissions not valid for at least three hundred sixty-five (365) days will be considered nonresponsive. The Respondent shall state the length of time for which the submitted response shall remain valid below: 

      Please state 365 calendar Days if your response will be valid for that period of time.  If your response will be valid for a different period of time please list the appropriate number of calendar days. 

    • Certificate of Understanding (required)

      The County assumes no responsibility for any understanding or representation made by any of its officers, employees or agents during or prior to the execution of any Contract resulting from this solicitation unless: 

      1. Such understanding or representations are expressly stated in the Contract; and 
      2. The Contract expressly provides that the County therefore assumes the responsibility. 

      Representations made but not expressly stated and for which liability is not expressly assumed by the County in the Contract shall be deemed only for the information of the Respondent. 

      Respondent certifies that such understanding has been considered in this response.

    • Minimum Qualifications/Requirements Statement (required)

      The Respondent certifies that it has thoroughly examined the County’s requirements and meets all minimum qualifications and requirements set forth in this RFA.

    • Certificate of Insurance (required)

      The Respondent shall certify its willingness and ability to provide the required insurance coverage and certificates as set forth in the Model Contract.

    • Department of the Treasury, Internal Revenue Service Form W-9 Requirements

      All Contractors will be required to submit to County a federal Form W-9, or form W-8 for foreign vendors.  County will inform Contractor, at the time of award, if the Form W-9 or W-8 will be required.

      In order to comply with this County requirement, within ten (10) days of notification of selection of award of Contract but prior to official award of Contract, the selected Contractor agrees to furnish to the agency Deputy Procurement Agent (DPA) the required W-9 or W-8.

      You may upload the appropriate form here or comply within the ten (10) days as described above. 

    • Conflict of Interest (required)

      Does the Respondent have an existing relationship with the County, past or current, for any financial or business reasons, or any other reason?

      An answer of "NO" shall be considered as Respondent certifying that no relationship exists or has existed as outlined below. An answer of "YES" will allow you to disclose the necessary information to the County.

      Respondent with an existing or past relationship with the County, for any reason, shall answer "YES" to this question and disclose:

      1. Any financial, business or other relationship with the County, any other entity that the County Board of Supervisors governs, or any County Board member, officer or employee, which may have an impact, affect or influence on the outcome of the services you propose to provide. Provide a list of current clients, employees, principals or shareholders (including family members) who may have a financial interest in the outcome of services you propose to provide.
      2. Any financial, business or other relationship within the last three (3) years with any firm or member of any firm who may have a financial interest in the outcome of the work.
    • Conflict of Interest Follow Up Question 1 (required)

      Disclose any financial, business or other relationship with the County, any other entity that the County Board of Supervisors governs, or any County Board member, officer or employee, which may have an impact, affect or influence on the outcome of the services you propose to provide. Provide a list of current clients, employees, principals or shareholders (including family members) who may have a financial interest in the outcome of services you propose to provide.

    • Conflict of Interest Follow Up Question 2 (required)

      Disclose any financial, business or other relationship within the last three (3) years with any firm or member of any firm who may have a financial interest in the outcome of the work.

    • Statement of Compliance (required)

      A statement of compliance with all parts of this RFA or a listing of exceptions and suggested changes must be submitted in response to this RFP. 

      • Yes = No Exceptions: This response is in strict compliance with said RFP, including, but not limited to, the terms and conditions set forth in the Contract and its Attachments, and no exceptions thereto are proposed. 


      • No = Exceptions: If there are any proposed exceptions, This response shall proceed to upload a list of any and all exceptions in accordance with the instructions provided  after "No" is selected.
    • Attachment for each proposed exception must include: (required)
      1. The RFA page number and section of the provision Respondent is taking exception to; 
      2. The complete provision Respondent is taking exception to; 
      3. The Respondent’s suggested rewording; 
      4. Reason(s) for submitting the proposed exception; and 
      5. Any impact the proposed exception may have on cost, scheduling, or other areas.
    • Non-Collusion Affidavit (required)

      Each Respondent must execute the Non-Collusion Declaration contained in the RFP and submit it with the Response.

      The County of Orange may require that the Respondent, before awarding any subcontract, secure Non-Collusion Declarations from proposed Subcontractors. The County of Orange does not conduct business with Respondents who engage in the act of Collusion. 

    • Non-Collusion Declaration - A (required)

      Has your firm ever initiated discussions with competing consulting firms about the payment structure of an existing or potential future contract with the County of Orange? Respondent must select one (1).

      If Respondent selects Yes answer, Respondent must provide a brief explanation below. A “Yes” answer may preclude you from moving forward in the RFA Process. Respondent must certify both questions below: 

    • Reason for Collusion: (required)
    • Non-Collusion Declaration - B (required)

      If not, has your firm participated in any discussions with competing firms in an effort to influence the payment structure for existing or potential County contracts? Respondent must select one (1). A “Yes” answer may preclude you from moving forward in the RFA Process. 

    • Provide name of competing firms: (required)
    • Litigation against County of Orange in the past seven (7) years (required)
      1. (Yes) Respondent certifies current/past litigation as follows:

        1. Respondent shall provide detailed information regarding litigation (court and case number), liens, or claims involving Respondent, or any company that holds a controlling interest in Respondent, against County of Orange in the past seven (7) years.

      2. (No) Respondent certifies that Respondent or any proposed subcontractors do not have any past or current litigation described above. 
    • Respondent shall provide detailed information regarding litigation (court and case number), liens or claims involving any proposed subcontractors, or any company that holds a controlling interest in subcontractor firm(s), against County of Orange in the past seven (7) years. (required)
    • Name/Ownership Changes (required)

      Respondent must certify either Yes or No below:

      1. (Yes) Respondent certifies past company name changes and/or ownership changes, for Respondent’s firm and any proposed subcontractor firm, as follows:

        1. Respondent shall provide detailed information regarding any company name changes (including legal business names) in the past seven (7) years.

      1. (No) Respondent certifies that Respondent or any proposed subcontractors have not had any company name change or ownership changes in the past seven (7) years.

    • Respondent shall provide detailed information regarding any company ownership changes (including legal business names) in the past seven (7) years. (required)
    • The Levine Act: County of Orange Campaign Contribution Disclosure (required)

      The Levine Act compliance is a minimum submittal requirement of this solicitation. 

      Please complete and sign  the County of Orange Campaign Contribution Disclosure Form attached hereto. A Respondent's failure to provide a completed and signed copy will render its proposal as incomplete and nonresponsive. 

    • Political Reform Act Confirmation (Statement of Economic Interest - Form 700) (required)

      Check the box to confirm - If subject to the Political Reform Act, Respondent shall conform to all requirements of the Act.

      Failure to do so shall constitute a material breach and is grounds for immediate termination of the Contract by County. Respondent shall indemnify and hold harmless County for any and all claims for damages resulting from Respondent’s violation of this Section. 

    • Contract Signatures (required)

      Upon recommendation of contract award, Respondent will be required to submit the Signed Contract within ten (10) calendar days of County notification, unless otherwise specified in the RFA.

      Selected Respondent will be required to sign a contract upon award. If selected Respondent is a corporation, signature will be provided in accordance with the corporation’s code as specified in this solicitation. 

    • I HAVE READ, UNDERSTOOD AND AGREE TO AL STATEMENTS IN THIS REQUEST FOR APPLICATIONS, AND TO THE TERMS, CONDITIONS AND ATTACHMENTS REFERENCED HEREIN (required)
    • COMPANY PROFILE

      Some *required questions might not be applicable to your company. Do not leave any required fields blank. Please indicate "N/A" when necessary. A required field that is left blank will prohibit your response from being submitted.

      *indicates that it is required.

    • Company Legal Name (required)
    • Company Legal Status (corporation, partnership, etc.): (required)
    • Corporate Office Address (required)

      What is the address of the company's corporate office? Please provide the full street/mailing address.

    • Local Business Address(es): (required)

      Please provide the local business address for the company named above. If there are multiple local addresses then please provide all.

    • Telephone Number (required)
    • Fax Number: (required)
    • Email Address: (required)
    • Length of time Respondent has been in business: (required)
    • Length of time at current location (required)
    • Is your firm a sole proprietorship doing business under a different name? (required)
    • If yes, please indicate sole proprietor's name and the name you are doing business under: (required)
    • Is Respondent incorporated? (required)
    • If yes, State of Incorporation: (required)
    • Contract Signature Authority - Executive Signature (required)

      If incorporated, please provide the name, contact number, and email of the person who would provide this signature authority.  The Executive Signer Authority comes from the President, Vice-President, or Chairperson of the Board.

      • Contact Full Name:
      • Contact Number:
      • E-mail Address:
    • Contract Signature Authority - Financial Signature (required)

      If incorporated, please provide the name, contact number, and email of the person who would provide this signature authority.  The Financial Signer Authority comes from the Secretary, Assistant Secretary, Chief Financial Officer, or Treasurer.

      • Contact Full Name:
      • Contact Number:
      • E-mail Address:

       

    • Contract Signature Authority (required)

      If not incorporated, please provide the name, contact number, and email of the person who has the binding and signature authority of this contract.

      • Contact Full Name:
      • Contact Title:
      • Contact Number:
      • E-mail Address:
    • Unique Entity Identifier Number (UEI) (required)

      The County requires a valid UEI number and complete registration.  Your company may obtain one at no cost at https://sam.gov/entity-registration. 

    • Federal Taxpayer ID Number (required)
    • Regular business hours (required)
    • Regular holidays observed (required)
    • Contact person in reference to this RFA: (required)

      Please include the following information in this response and note that this person is responsible for monitoring and responding to all communications for this solicitation:

      1. Contact Person Full Name:
      2. Telephone Number:
      3. Fax Number:
      4. Email Address:
      5. Mobile Number:
    • Contact person for Project Manager (required)

      Please include the following information in this response:

      1. Contact Person Full Name:
      2. Telephone Number:
      3. Fax Number:
      4. Email Address:
      5. Mobile Number:
    • Contact person for Accounts Payable (required)

      Please include the following information in this response:

      1. Contact Person Full Name:
      2. Telephone Number:
      3. Fax Number:
      4. Email Address:
      5. Mobile Number:
    • Company Emergency Contact (required)

      State the following for the emergency contact person in reference to this services:

      • Full Name (First and Last) of contact during non-business hours
      • Telephone Number (including area code)
      • Fax Number (including area code), if applicable
      • Cell Phone Number (if different than regular phone)
      • Full Email Address
    • Reference Letters (required)

      Respondent must demonstrate successful prior performance of comparable services in the public sector arena and provide a minimum three (3) reference letters from public sector entities and clients that are comparable to the County of Orange for which these types of services have been performed within the past five (5) years.  Reference letters cannot be from one of the County of Orange departments or from more than one of the same entity.

      Reference letters must be submitted on the organization's letterhead and signed by an individual that has the authority to sign on behalf of the named organization. Please provide the following information for each of the three reference letters: 

      • Company Name
      • Contact Name
      • Email
      • Telephone number 
      • Address
      • Contract Effective Dates
      • Contract Amount
      • Brief Contract Description
    • SERVICES QUESTIONNAIRE

      Do not leave any required fields blank. Please indicate "N/A" when necessary. A required field that is left blank will prohibit your response from being submitted.

      *indicates that it is required.

    • What provision is your organization applying for?
    • Is the facility where the services will be provided a: (required)
    • To which aged population do you propose to provide these services? (required)
    • Does your organization have the experience and ability to meet the Performance Objectives of this solicitation? (required)
    • Does your organization’s staff that will be allocated to this program meet the requirements of this solicitation? (required)
    • Does your organization’s facility meet the requirements of this solicitation? (required)
    • Does your organization accept the Administrative Bed Day Rate established and published by the Department of Health Care Services (DHCS), that is subject to change year to year? (required)
    • Does your organization understand that the negotiated rate is subject to review and approval by the Department of Health Care Services (DHCS) (required)
    • Contractor Safety (required)

      Contractor shall comply with County’s Safety and Loss Prevention Policy and Procedure #306 (“Contractor Safety Responsibilities”) and submit a copy of its Injury and Illness Prevention Program (IIPP) and Contractor Safety-Activity Checklist to the designated County Procurement staff as part of the solicitation and/or contract process. Contractor will notify County Project Manager of any revisions to the Safety-Activity Checklist and will provide a new Safety-Activity Checklist upon County request. The IIPP shall comply with California Code of Regulations, Title 8, Section 1509 or 3203 (whichever applies). Contractor shall submit other safety programs that pertain to the type of job that will be performed on site. County reserves the right to conduct inspections and audits as necessary for the purpose of evaluating any aspect of safety performance under this Contract.

      Do not include the information below in the contract – for internal information only.
      Please note public facing links included in this paragraph for contractors to access are as follows:
      • Contractor Safety Responsibilities - https://bit.ly/3ayTivx
      • Contractor Safety Activity Checklist - https://bit.ly/3FK0t2n

    • Safety Data Sheets (SDS) (required)

      Contractor is required to provide a Safety Data Sheet (SDS) compliant with California Code of Regulations, Title 8, Section 5194, for each hazardous substance that is provided, used or created as part of the goods or services provided by Contractor to County. The SDS for each substance must be sent to either the County Project Manager, as specified in the “Notices” provision of this Contract, or to the place of shipment or provision of goods/services.

    • Homeless Service System Pillars Attestation (required)

      Please download the below documents, complete, and upload.

    • Minimum Submission Requirements

      Additional file upload

    • Vendor Type (required)

      This will update the Vendor Type field within Insurance and Indemnification section.

    • Vendor Pricing (required)

      How do you want to receive pricing from vendors for this project?

    • Will this Project Require Evaluation Criteria/Committee (required)
    • Does this solicitation require any of these? (required)
    • Type of Contract (required)
    • Name the type of Funding Source for this project (required)
    • Start-up funds ____ available for these services... (required)

      Select one to fill in the blank.

    • Include Start-up Fund Amount? (required)
    • Start-up fund amount (required)

      Answer format: $XX.XX or N/A

    • Enter what the start-up funds may be used for (required)
    • Start of Services Date (required)
    • The selected applicant shall be required to meet performance objectives by_____________. (required)

      Enter the date here.

    • Written protests must be sent to: (Name of Entity) (required)

      Enter name of entity

    • Written protests must be sent to: (Dept Name of Entity) (required)

      Enter the department name of entity

    • Written protests must be sent to: (Mailing Address, Line 1) (required)

      Enter the first line of the entity's address.

      Example: 400 W Civic Center Drive, 3rd floor

    • Written protests must be sent to: (Mailing Address, Line 2) (required)

      Enter the second line of the entity's address.

      Example: Santa Ana, CA 92701

    • Target Population for this project (required)
    • Name of Required License or Certification for each staff member allocated to the program (required)
    • Name of Required Facility License (required)
    • Name of Facility Certification (required)
    • Reimbursement Rate (required)
    • Network Security & Privacy Liability Minimum Limits (required)
    • Technology Errors & Omissions Minimum Limits (required)
    • Professional Liability Minimum Limits (required)
    • Sexual Misconduct Minimum Limits (required)
    • Employee Dishonesty (Client Coverage) Minimum Limits (required)

    Questions & Answers

    Q (New or Existing Services): Is this RFP for the addition of new services? Or does this represent the re-procurement of existing services? If this is an existing service, please provide the name of the current operator.

    A: Questions to this RFA should pertain to the current solicitation. For historical information please submit a Public Records Act request at this link: https://orangecounty.nextrequest.com/requests/new?dept_id=1047 Previous solicitations and contracts can also be found on the County Procurement website: https://cpo.oc.gov/open-bids-county-contracts-portal


    Q (SPA-23-0045): How does the County intend to integrate the CMS approved SPA-23-0045? Will there be further detailed guidance on the process for negotiation of hospital-specific rates?

    A: County intends to utilize the guidance and suggestions provided in SPA-23-0045 to negotiate provider rates.


    Q (County Inpatient Psych RFA – Proposed Clarification Questions): 1. Does the County intend to negotiate provider-specific reimbursement rates? 2. Will the County reimburse providers based on each provider’s cost per day as reflected in its CMS 2552 cost report, including ancillary costs, trended by the CMS Market Basket Index or other approved index, utilizing the methodology described in SPA 23-0045? 3. Please describe how the County intends to conduct the rate negotiation process, including the anticipated steps and actions involved. 4. Will the County obtain each provider’s Medicare cost report directly, or will providers be expected to furnish such documentation to the County? 5. What process will apply if the parties are unable to reach agreement on reimbursement rates?

    A: 1. Yes 2. County will utilize the guidance and recommendations provided in BHIN 25-038 and SPA 23-0045 in rate discussions. 3. After Board of Supervisors’ approval, County plans to schedule individual meetings with all qualified applicants meeting the solicitation requirements. 4. Please refer to section 4. Minimum Submisiion Requirements. 5. Any qualified applicant choosing not to move forward in the solicitation process may withdraw.


    Q (Section 1.7 Compliance Question (Model Contract)): Question – Section 1.7 (Statement of Compliance): Please confirm whether the Statement of Compliance requirement in Section 1.7 applies to the Model Contract and its attachments. Specifically, must Respondents identify and submit all proposed exceptions to Model Contract provisions (including section references and suggested revisions) as part of the Section 1.7 exception submission?

    A: Section 6. subsection 1.7 as mentioned in the RFA is including, but not limited to, the terms and conditions set forth in the Contract and its Attachments. If the response is “No", there will be a list of any and all exceptions, in accordance with the instructions provided after "No" is selected, such as: 1. The RFA page number and section of the provision Respondent is taking exception to 2. The complete provision Respondent is taking exception to 3. The Respondent’s suggested rewording 4. Reason(s) for submitting the proposed exception; and 5. Any impact the proposed exception may have on cost, scheduling, or other areas.


    Q (Number of RPFs - Needing to submit for two hospital sites ): I have a question regarding the RFP’s. Can you submit 2 RFP’s (needing to submit for two hospital sites) using the same account?

    A: The same individual can submit applications for different hospital sites; however, a separate application must be submitted for each facility.


    Q (staffing): Section 4 Minimum Submission Requirements, C requests a copy of staffing schedule with classifications and hours to meet LPS Designation staffing requirements. Are we to send the staffing matrix, or is there a date range that we should be sending staffing for?

    A: A copy of the staffing matrix showing the staffing ratios and classifications for each unit, based on a client census ranging from one client up to maximum bed capacity, will meet this requirement.


    Key dates

    1. March 31, 2026Published
    2. May 1, 2026Responses Due

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    SLED stands for State, Local, and Education. These are solicitations issued by state governments, counties, cities, school districts, utilities, and higher education institutions — as opposed to federal agencies.

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